Sage Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAGE MEDICAL SUPPLY

Doing business as

Sage Medical Supply

Practice address

4301 W Lincoln Hwy
Downingtown, PA 19335-2226

Phone

(484) 364-3039

Fax

(610) 471-0791

NPI assigned

Apr 10, 2018

Last updated

Mar 8, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Justin Dungan Lafazia

Title

President

Phone

(484) 364-3039

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sage Medical Supply Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sage Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Downingtown, PA
  • NPI 1811550569
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1871090357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W LINCOLN HWY",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352226",
            "telephone_number": "484-364-3039",
            "fax_number": "610-471-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W LINCOLN HWY",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352226",
            "telephone_number": "484-364-3039",
            "fax_number": "610-471-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "LAFAZIA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DUNGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-364-3039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103538173",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.